LOURDES MEDICAL ASSOCIATES PA NPI 1568441541

NPI Information

NPI: 1568441541
Provider Name: LOURDES MEDICAL ASSOCIATES PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
500 GROVE ST
SUITE 100
HADDON HEIGHTS, NJ
ZIP 08035
Phone: (856) 796-9200
Get Directions

LOURDES MEDICAL ASSOCIATES PA is a family medicine in Haddon Heights, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LOURDES MEDICAL ASSOCIATES PA NPI is 1568441541. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

500 GROVE ST
SUITE 100
HADDON HEIGHTS, NJ
ZIP 08035-702
Phone: (856) 796-9200
Fax: (856) 310-5603

The provider's authorized official is Steven Fox .
The authorized official title is President and has the following contact phone number (856) 796-9200.

The enumeration date for this NPI number is 1/10/2006 and was last updated on 5/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208M00000X	Hospitalist		25MB06629000	NEW JERSEY	No
2	363AM0700X	Physician Assistant	Medical	25MP00146900	NEW JERSEY	No
3	2086S0102X	Surgery	Surgical Critical Care	25MA03203600	NEW JERSEY	No
4	207V00000X	Obstetrics & Gynecology				No
5	204F00000X	Transplant Surgery				No
6	207QS0010X	Family Medicine	Sports Medicine			No
7	207R00000X	Internal Medicine				No
8	207RG0100X	Internal Medicine	Gastroenterology			No
9	207RI0008X	Internal Medicine	Hepatology			No
10	208000000X	Pediatrics				No
11	208600000X	Surgery				No
12	2086S0129X	Surgery	Vascular Surgery			No
13	207Q00000X	Family Medicine				Yes
14	207X00000X	Orthopaedic Surgery				No
15	2084N0400X	Psychiatry & Neurology	Neurology			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	683572	MEDICARE PIN	NEW JERSEY
2	6535704	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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